Individual provider Active NPI

Courtnie Michelle Arnell, MSN-FNP

  • Primary Care Nurse Practitioner
  • St George, UT
National Provider Identifier
1427545482
Registry record updated Feb 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
12835732-4405 Issued in UT
Practice address
230 N 1680 E
St George, UT 84790-2579
Phone
(435) 634-7608
NPI assigned
Apr 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 95012751 CA
Primary Care Nurse Practitioner 363LP2300X 12835732-4405 UT Primary

Addresses

Primary practice location

230 N 1680 E
St George, UT 84790-2579

Mailing address

230 N 1680 E
St George, UT 84790-2579
Phone (435) 634-7608

Other practice location 1

1035 Placer St
Redding, CA 96001-1125
Phone (530) 246-5710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191209001622 CA Practitioner - Nurse Practitioner 4587097332 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95012751CAMDPrimary Care Nurse Practitioner
12835732-4405UTMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shasta Community Health Center Current Accepting new patients
Shasta Community Health Center CurrentSince Oct 8, 2019 Accepting new patients
Shasta Community Health Center CurrentSince Oct 8, 2019 Accepting new patients

Locations

1035 Placer St
Redding, CA 96001

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675555200000",
    "number": "1427545482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N 1680 E",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902579",
            "telephone_number": "435-634-7608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N 1680 E",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902579",
            "telephone_number": "435-634-7608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1035 Placer St",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960011125",
            "country_code": "US",
            "telephone_number": "530-246-5710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARNELL",
        "first_name": "COURTNIE",
        "middle_name": "MICHELLE",
        "credential": "MSN-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2023-02-05",
        "certification_date": "2023-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95012751",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "UT",
            "license": "12835732-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.